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Click ‘Get Form’ to open the Backflow Certificationdoc - amarillo in the editor.
Begin by filling in the 'Type of Installation' section, selecting either 'New Install' or 'Annual Test' as applicable.
Complete the 'Name of Service' and 'Customer Account Number' fields to identify the service being certified.
Provide the 'Service Address' and 'Mailing Address' for correspondence regarding this certification.
Select the appropriate type of assembly from the options provided, ensuring you accurately represent your installation.
Fill in details about the manufacturer, size, model number, and serial number of the assembly for precise documentation.
Indicate whether the assembly is installed according to manufacturer recommendations and local codes by checking 'Yes' or 'No'.
Document any repairs made during testing in the designated sections, including initial tests and subsequent checks after repairs.
Finally, ensure that all tester information is filled out accurately before signing at the bottom of the form.

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